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RN Case Manager Lead FT Day Shift

Company: Tenet
Location: Birmingham
Posted on: June 15, 2019

Job Description:

Summary The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patients resources and right to self-determination.
The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions.
This position integrates national standards for case management scope of services including:
Utilization Management supporting medical necessity and denial prevention
Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
Education provided to physicians, patients, families and caregivers
Leads a population of patients by service line and/or leads the team by being a resource to Tenet performance standards.
Responsibilities

  • Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post-acute care) compared to evidenced-based practice, internal and external requirements.
  • Educates and mentors new RN staff

    Qualifications:
    Experience Required: Three (3) years department experience and/or five (5) years acute hospital RN experience and three (3) years as Case Manager experience. Certifications Required: Registered Nurse license. Job: Case Management/Home Health Primary Location: Birmingham, Alabama Facility: Princeton Baptist Med Ctr Job Type: Full-time Shift Type: Days Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Keywords: Tenet, Birmingham , RN Case Manager Lead FT Day Shift, Executive , Birmingham, Alabama

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